Types Of Pain After Carpal Tunnel Surgery
Immediate pain after carpal tunnel surgery is perfectly normal – and expected. The pain’s intensity usually is related to the type of surgery you have:
- Pain normally is more intense with theopen release;type of surgery.
- Theendoscopic releasetype of surgery normally results in less pain.;
But regardless of which type of surgery you have, painwillhappen. And will be most intense within the first week. This is a normal outcome of both surgery types.;
Most of yourrecoveryandaftercarewill revolve around managing the pain. In general, you’ll experience 2 types of pain after either carpal tunnel surgery. Again, both are perfectly normal. Namely, they’re referred to as:
Wrist Very Stiff 3months After Surgery
Wanted to please hear from others who have had a distal radius fracture and surgery with a plate inserted.
Three months ago i fell and shattered my wrist.
Had surgery on the 8/7/2016 and 2 weeks later cast came off and about 10 days later started therapy.
However, my therapist told me that my hand isn’t good..can hardly bend my wrist up or down or twist it. It’s very stiff. My fingers still hurt but I can make a fist now.
What I noticed also 3 weeks ago is that my elbow is becoming stiff again ..not to mention my shoulder..also limited movement. I told my therapist and when he touches the area around my shoulder it’s is so painful.
Has anyone experienced this also?
How much therapy did you do also at home for those that had stiffness and now their hand is relatively ok?
Has anyone gone to an orthopedic doctor for a second advice following their surgery ?
Posted 4 years ago
I know what she is going through..and it sucks extra coz she is so young. I also can’t tie my bra or wear pants with buttons. When I brush my teeth I need a cup to rinse it out whereas before i could use my hands to fill them with water to rinse my mouth out..i can’t turn my wrist.
Seems like what my therapist said could be correct..that my lack of progress is probably due to the surgery and not to how much therapy i have been doing…i go 4 times a week and also do it at home.
I am worried coz in addition to my hand my elbow and shoulders are very stiff.
I Broke My Wrist Now What
A fall onto an outstretched hand can result in several different injuries to that arm.; Among the most common injuries is a broken wrist.; There are several different fractures that can occur throughout the wrist, the most common is a break at the end of the radius bone.; This is often referred to as a distal radius fracture.; This is the most commonly broken bone in the body, with over 600,000 breaks in the United States per year.; The injury is commonly seen both in kids and adults.A broken wrist will cause pain, swelling, bruising, and difficulty moving the wrist.; More severe fractures can result in a deformity of the arm, or tingling in the fingers.; These injuries are typically seen in an emergency department or in an orthopaedists office, and a splint will be applied.
If the fracture is displaced, meaning the bone it not well lined up, a reduction may be needed to set the bone.; Typically, a local anesthetic is injected near the fracture, and the hand and wrist are manipulated to improve the alignment of the wrist.; A splint or cast is placed, and if x-rays show the bone is in an acceptable position, the fracture is allowed to heal.
In general, a broken wrist takes about 6 weeks to heal.; Once x-rays show that the break has mended itself, you can start using the wrist again.; Sometimes therapy is helpful to improve strength and flexibility of the wrist.
To read more about wrist fractures,;
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Broken Wrist Pain Management
There are many things you can do to help prevent your broken wrist pain getting worse. Some of these measures can be taken along with medication prescribed by your doctor, but it is important that you follow your doctors advice on taking medication and managing pain.
Using a broken wrist splint or brace is not only good for preventing further injury but they can also help in reducing pain, as the joint cannot freely move while it is still healing. Similarly, splints or supports such as a sling can help elevate the joint and can aid in reducing swelling. Another aid for swelling includes cold compresses applied to the area to help reduce the swelling and pain it causes.
In the later stages of recovery, completing light or gentle exercises could also help reduce stiffness, promote efficient blood flow in the area and aid the overall healing process.
Pain Relief After Elbow Surgery
If you have had awake elbow surgery or a general anaesthetic combined with a regional nerve block you may have minimal pain or discomfort in your elbow when you are discharged from hospital. Blocks should last up to 24 hours after elbow surgery. We usually send you home with tablet painkillers.
The first night of your elbow surgery we advise taking your painkillers before going to bed and first thing the next morning when you wake up so that you have good pain relief on board and the block wears off slowly rather than suddenly.
If you have had surgery for a fracture we recommend avoiding anti-inflammatory pain killers as they can slow down fracture healing.
For added pain relief an ice pack applied to the shoulder can be helpful. You can ice the shoulder as much as you want with each icing session going no more than 20 minutes at a time. You can purchase a useful ice pack here.
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Pain And Swelling Post
After your wrist surgery, you are likely to feel some pain, aching, and swelling in the wrist. Your doctor will prescribe medications and other treatments to help with these symptoms. If you notice redness, heat, or discharge at the site of the surgery, speak with your surgeon immediately. While it is normal to feel pain and aching after wrist surgery, redness, heat, and discharge are signs of infection.
Should I Move My Fingers With A Broken Wrist
Keep your wrist higher than the level of your heart. This will help reduce swelling. Move your fingers often to reduce swelling and stiffness, but do not use that hand to grab or carry anything. Follow instructions for exercises to keep your arm strong.
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Your Bodys Response To Surgery
So although your orthopedic hand surgeon is highly trained and experienced in fixing whatever problem you have while exposing you to the least risk possible, the surgery itself involves making an incision, moving and retracting tissues and usually removing or cutting bone or tissue.
Even though it is performed in a sterile environment by a highly trained individual, the human bodys natural defense mechanisms and immune cells still see the procedure as something abnormal. They see that the skin has been cut and previously undisturbed structures have been moved and manipulated.
This always triggers a mild inflammatory response consisting of some degree of swelling, redness, and discomfort. In fact, the first phase of wound healing that every surgeon learns about in medical school is called the inflammatory phase. This phase is important, not only to provide continued protection against infection but also to ensure that all the right cells are called to the site of the surgery to rebuild tissues to complete the healing process.
Therefore in the first nights and days after your surgery, you can and should expect some amount of swelling, redness, and discomfort. Keep in mind that this response is different in different patients. If you have friends or acquaintances who have had the same surgery but seem to feel more or less pain, this is nothing to worry about.
Excellent Preparation = Quick Healing From Hand Surgery
Your overall physical and emotional health, as mentioned, greatly affect your hand surgery recovery time. If youre having hand surgery for a problem brought on by diabetes, for example, you may heal a bit more slowly than average due to your health condition.
If your blood sugar is well controlled, however, your recovery period can be just about average. In preparation, your hand surgeon will want to be sure your blood sugar is under control before your surgery.
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What You Need To Know About Recovering From Hand Or Wrist Surgery
03 December 2015
Undergoing surgery is always a little unsettling, but hand and wrist procedures are very common and allow many people to regain full range of motion once again. These procedures are sometimes necessary if youre dealing with a severe injury that cannot be treated through non-surgical methods.
What Is The Average Recovery Time For Carpal Tunnel Surgery
The recovery from carpal tunnel surgery takes time anywhere from several weeks to several months. If the nerve has been compressed for a long period of time, recovery may take even longer. Recovery involves splinting your wrist and getting physical therapy to strengthen and heal the wrist and hand.
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Wrist Surgery Recovery After A Fracture
Because there are many ways that the bones in the wrist can fracture, your recovery time varies with the injury you suffered. In general, you can expect a healing period of at least six weeks after a bone fracture.;
The most common type of bone fracture is a distal radius fracture, which often occurs when you try to catch yourself after a fall.1
When the fracture is unstable, a doctor may recommend surgery. After surgery, you can expect to wear a fixed splint, cast, or removable splint.3
Most people need physical therapy following wrist surgery or a serious fracture. The length of physical therapy depends on numerous factors. Because full recovery can take 4 to 6 months, you may need physical therapy for several months.4
Your Research Can Shorten Hand Surgery Recovery Time
Research: youre doing it right! It may surprise you to know that the research you are doing now, prior to your hand surgery, can help to speed up your recovery process. Careful research on hand surgery procedures and research to ensure that you choose an excellent surgeonboth of these preparatory steps will lower your risk and enhance your outcome of hand surgery.
A well-qualified and dedicated hand surgeon will guide you in understanding your options. Being confident in your choice of surgeon will also help you feel confident going into your procedure, and shorten your hand surgery recovering time.
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Sleeping After Elbow Surgery
One of the common problems after elbow surgery is swelling of the fingers and the hand. After surgery, because of swelling at the elbow the circulation is slowed and fluid can collect in the hand overnight as you sleep.
It is important to have the hand elevated in bed after elbow surgery. To do this we recommend sleeping on your back with your elbow at your side resting on the bed and the hand resting on a cushion at your side. This will cause a gradient from the hand on the cushion to the elbow on the bed and gravity will help pull the fluid out of the hand overnight. If you wake up throughout the night try to move your fingers and wrist as this will help with swelling also.
Please see this video on how to elevate your hand after surgery to avoid swelling:
To help with pain please take painkillers before bed time. You may also use an ice pack on the elbow at night before bed time to help with pain and swelling before going off to sleep.
What Happens When Your Nerves Are Damaged
One of the biggest issues we see after surgery is scarring around nerves . Think of a nerve as a garden hose. If you constrict one area, less water comes out the end. This is what happens when scar tissue forms around a nerve after surgery. The scar tissue constricts the nerve which reduces the transport of critical chemicals that the nerve needs to stay healthy.
A nerve can also be damaged by killing some or all of its fibers. The image to the left shows that a nerve is made up of many neurons that are bundled into fascicles and then bundles of these make up the bigger nerve . In addition, the nerve is surrounded by a fatty sheath that acts like an insulator covering a wire and when this gets damaged there can also be a problem with nerve function.
In summary, nerve damage is broken into neurapraxia , axontomeis , and neurontomesis .
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Swelling With Broken Wrist How Long Should My Hand Be Swollen For After Having Broke Both Wrist Bones
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Rehabilitation Of The Wrist
After your surgery wound heals, your surgeon will recommend you begin rehabilitation. This can be through physical or occupational therapy. A physical or occupational therapist will work with you to strengthen your wrist. You will also work on improving flexibility and mobility. This is done through a series of exercises and stretches performed with the therapist and at home on your own. You should expect to perform rehabilitation for several weeks following wrist surgery for better results.
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What To Expect On The Road To Wrist Fracture Surgery Recovery
Fractures often take upwards of six weeks to heal, but your physician will be able to give you a better idea of the time frame she expects for your particular injury. After surgery, you will spend some time focusing on control of pain and swelling, as well as maintaining range of motion in your other joints.
When Can I Drive After Surgery
You cannot drive with a sling, bandages, or dressing as these could make you unsafe or invalidate your car insurance. After we give you permission to remove your sling and dressings, the elbow can still be a bit painful and stiff so usually it is not possible to drive safely until a few weeks after surgery. If we have placed restrictions on how much weight you can put through your arm then you may not be able to drive until those restrictions are removed as your elbow wont be strong enough to control the steering wheel.
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Rehabilitation After Elbow Surgery
Getting your elbow moving is a key part of elbow surgery recovery. The rehabilitation of your elbow depends on the operation you have had. We would have discussed with you the expected post-operative rehabilitation before the operation in clinic and on the ward and we will confirm this with you after your surgery.
Almost all patients having elbow surgery will require physiotherapy post-operatively. You will need to arrange the physiotherapy to start when we advise you, and will need to get approval from your insurance company to cover the costs of the physiotherapy.
After elbow surgery the main issue is stiffness in most cases we will instruct you to start using the elbow as soon as possible after the nerve block wears off and the arm comes back to life. Initially you will most likely be in a bandage which will restrict your movement. We will tell you when you can reduce the bandage and start full movement and we will tell you about any restrictions to movement that you should observe.
This video shows you what movements you can do in the bandage, how to remove the bandages, and how to start full movements of the elbow after the bandages are removed:
We will give you a copy of your operation note to take to your physiotherapist. The operation note will give the post-operative instructions and restrictions for you and the therapist to follow. We have more information about making the best of your physiotherapy here.
Braces For A Broken Wrist
After your cast or splint has been removed, you may want to further support your wrist as it continues to heal. Fractured wrist braces can be very useful in reducing possible further damage or pain to a recovering wrist. Depending on your needs there are different types of brace available. For example, they can come in low, medium or high levels of support, ranging from light sprains that need compression to more serious breaks that still require further immobilisation and support. Some of these include:
- Sturdy wrist straps that fully immobilise the thumb and wrist
- Less restrictive supports that allow some movement to the wrist but protect certain wrist bones
- Adjustable wrist straps that can support you while you play sports
- There is also a softer strap that provides compression and support to the wrist and thumb, but still allows the full range of movement.
Different straps can be made of different material, for example neoprene or cloth. Make sure that the material sufficiently supports your wrist according to what you need, and is not too loose, soft or hard. It is important that you get the right brace for your level of recovery and ensure that you are not putting any unnecessary strain on your broken wrist.
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